Medicine details

Image Remaquin
Name Remaquin 15
Dosage Tablet
Generic Name Primaquine
Classes Antiinfective Agent
Antimalarial Agent
Quinoline
Diseases Infectious Disease
Malaria
Company ACI Limited

Drug Package Details

Strength 15 mg
Storage Condition
Origin Country Bangladesh
Commercial Pack 100
Price per pack 151.00
Cost per pack 132.88
Package unit 10 tabs strip
Price per unit 1.51
Cost per unit 1.33
Discount 0
Coupon
Remarks

Primaquine

Primaquine phosphate is an 8-aminoquinoline chemical that kills tissue infections (exoerythrocytic). As a result, it stops the parasite from developing blood (erythrocytic) forms, which are responsible for vivax malaria relapses. Primaquine phosphate is equally efficient against Plasmodium falciparum gametocytes.

Primaquine  is indicated for the radical cure (prevention of relapse) of vivax malaria. 

In a region where vivax malaria is endemic, primaquine phosphate is only advised for the radical cure of vivax malaria, the prevention of relapse in vivax malaria, or following the discontinuation of chloroquine phosphate suppressive therapy.
Primaquine phosphate, at a dose of 1 tablet (equal to 15 mg base) daily for 14 days, should be given concurrently to remove exoerythrocytic parasites.

  • Gastrointestinal: nausea, vomiting, epigastric distress, and abdominal cramps. 
  • Hematologic: leukopenia, hemolytic anemia in glucose-6-phosphate dehydrogenase (G-6-PD) deficient individuals, and methemoglobinemia in nicotinamide adenine dinucleotide (NADH) methemoglobin reductase deficient individuals. 
  • Because excessive dosages of primaquine have been linked to anemia, methemoglobinemia, and leukopenia, the adult dose of 1 tablet (= 15 mg base) daily for fourteen days should not be exceeded. During treatment, routine blood exams (especially blood cell counts and hemoglobin levels) are also recommended.
  • If primaquine phosphate is prescribed for
    1. an individual who has previously shown an idiosyncrasy to the drug (as manifested by hemolytic anemia, methemoglobinemia, or leukopenia),
    2. an individual with a family or personal history of favism, or
    3. an individual with erythrocytic glucose-6-phosphate dehydrogenase (G-6-PD) deficiency or nicotinamide adenine dinucleotide (NADH) methemoglobin reductase deficiency, the person's tolerance should be regularly monitored. If there is a significant darkening of the urine or a quick drop in hemoglobin concentration or leukocyte count, the medicine should be stopped promptly.
  • If you notice signs of hemolytic anemia, stop taking Primaquine phosphate right away (darkening of the urine, marked fall of hemoglobin or erythrocytic count).

Contraindication

  • Primaquine contraindicated in patients receiving concurrently other potentially hemolytic drugs or depressants of myeloid elements of the bone marrow.
  • Because quinacrine hydrochloride appears to potentiate the toxicity of antimalarial compounds which are structurally related to primaquine, the use of quinacrine in patients receiving primaquine is contraindicated.
    • Quinacrine
  • Primaquine should not be administered to patients who have received quinacrine recently, as toxicity is increased. 

Primaquine phosphate is contraindicated in acutely ill patients suffering from systemic disease manifested by tendency to granulocytopenia, such as-

  • rheumatoid arthritis
  • lupus erythematosus